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Previous Volume 355:1903-1911 November 2, 2006 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 53-year-old woman with asthma and multilobar pneumonia is admitted with respiratory failure. She is intubated and treated with antibiotics, albuterol, and methylprednisolone. A random blood glucose measurement obtained on admission shows a level of 183 mg per deciliter (10.2 mmol per liter). After 3 hours in the intensive care unit, she has a capillary glucose level of 264 mg per deciliter . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Factors Affecting Treatment Strategies

Oral Agents

Insulin

Guidelines

Areas of Uncertainty

Conclusions and Recommendations

Source Information

From the Section of Endocrinology, Yale University School of Medicine, New Haven, CT.

Address reprint requests to Dr. Inzucchi at the Section of Endocrinology, Yale University School of Medicine, 333 Cedar St., LLCI-101, New Haven, CT 06520-8020, or at silvio.inzucchi@yale.edu.

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